# STATE OF TENNESSEE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CSS - Southeast Region Department of Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174660039
- **Authorized official:** MR. RICHARD W MCCARTHY (ACCOUNTING MANAGER)
- **Authorized official phone:** (423) 634-5832

## Contact information

- **Practice address:** 1301 RIVERFRONT PKWY STE 209, CHATTANOOGA, TN 37402-3312
- **Practice address phone:** (423) 634-5832
- **Practice address fax:** (423) 634-6087
- **Mailing address:** 1301 RIVERFRONT PKWY STE 209, CHATTANOOGA, TN 37402-3312
- **Mailing address phone:** (423) 634-3124
- **Mailing address fax:** (423) 634-6087

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | — | NULL | Yes |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 01/31/2007
- **Last updated:** 11/21/2022